10D2194193 CLIA NUMBER - BWELL CLINICAL RESEARCH CORP

Laboratory Demographics

  • CLIA Code: 10D2194193
  • Facility Name: BWELL CLINICAL RESEARCH CORP
  • Facility Address: 10500 NW 26 ST STE A102A
    DORAL, FL
    ZIP 33172
  • Facility Phone: 786 953-8043
  • Facility Type: Other - RESEARCH
  • Facility Type: Waiver
  • Lab Director: GERARDO JOSE MINSAL BALLESTER
  • NPI Number: 1326650573
  • Taxonomy: 261QR1100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2194193
LAB Type Other - RESEARCH
Facility Name BWELL CLINICAL RESEARCH CORP
Street 10500 NW 26 ST STE A102A
City DORAL
State FL
ZIP 33172
Phone 786 953-8043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Other - RESEARCH
Lab Director GERARDO JOSE MINSAL BALLESTER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025